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FULLERTON DRAKE MEDICAL CENTER
NPI 1104693845
Non-Pharmacy Dispensing Site in Chicago, IL

Active since December 04, 2023
3518 W FULLERTON AVE, CHICAGO, IL 60647(773) 278-0334 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fullerton Drake Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULLERTON DRAKE MEDICAL CENTER (NPI 1104693845) is a healthcare organization registered as a non-pharmacy dispensing site in Chicago, Illinois and active in the NPI registry since December 2023. The organization lists Mark K Gerber, President, as its authorized official.

NPPES Registry Identity

NPI1104693845
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFULLERTON DRAKE MEDICAL CENTER
Location Address3518 W FULLERTON AVEChicago, IL 60647-2418
Mailing Address3518 W Fullerton AveChicago, IL 60647-2418 · (773) 278-0334
Phone(773) 278-0334
Organization SubpartNo
Authorized OfficialMark K GerberPresident · (773) 278-0334
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
✔ NPI 1104693845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
3518 W FULLERTON AVE, Chicago, IL 60647
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARK K GERBER M.D.
Family Medicine
3518 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 278-0334
DR. SILVIO J CAMODECA DDS
Dentist
3518 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 365-0315
SILVIO J CAMODECA DDS DN
Dentist
3518 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 278-0334
DR. ADAM G STONE DC
Chiropractor
3518 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 278-0334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fullerton Drake Medical Center's NPI number?

The NPI number for Fullerton Drake Medical Center is 1104693845. It was assigned to this organization in the NPPES registry on December 4, 2023.

Where is Fullerton Drake Medical Center located?

Fullerton Drake Medical Center is located at 3518 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 278-0334.

What is Fullerton Drake Medical Center's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Fullerton Drake Medical Center was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.